person
Nicole Spore
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Peoria, Illinois
NPI 1316651599

Nicole Spore is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist based in Peoria, IL and is specialized in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Nicole Spore practices in Peoria, IL. The NPI Number for Nicole Spore is 1316651599 and holds a License No. 051305252 (Illinois).

The current practice location address for Nicole Spore is 9219 N Lindbergh Dr, Peoria, IL and can be reached out via phone at 309-692-0473. You can also correspond with Nicole Spore through the mailing address at 9219 N LINDBERGH DR, PEORIA, IL - 61615-1425 (mailing address contact number: ).

Location: 9219 N Lindbergh Dr, Peoria, IL, 61615-1425
person
Provider Profile Details
NPI Number
1316651599
Provider Name
Nicole Spore
Credential
Provider Entity Type
Individual
Gender
Female
Address
9219 N Lindbergh Dr, Peoria, IL, 61615-1425
Phone Number
309-692-0473
Fax Number
Provider Enumeration Date
01/11/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9219 N Lindbergh Dr
City
State
Zip
61615-1425
Phone Number
309-692-0473
Fax Number
person
Provider Business Mailing Address Details
Address
9219 N Lindbergh Dr
City
State
Zip
61615-1425
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Taxonomy
License No.
051305252 (Illinois)
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
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